07-1052021
city oevelop entS Electrical Permit #: 07 -105202 -ME
Way
�omn+�nity Development Services
P.O. Box 9718
' Federal Way, WA 98063-9718
Ph: (253) 835 -2607 -Fax: (253) 835-2609 Inspection Request Lille: (253) 835'5-3050
i
Pivnect Nahi e: GENTRY
Project Address: 1228 S 313TH ST'S �a �, Parcel Number: 787540 0045
ra.
Project Description: Remove existing fused panel and replace wihlftk'%rvice
Owner
Applicant
Contractor
ALLEN GENTRY JR.
C T S CONSTRUCTION LTD
C T S CONSTRUCTION LTD
1228 S 313TH ST
25410 42ND PL S
CTSCOL*014N5 (8/25/09)
FEDERAL WAY WA
KENT WA 98032
25410 42ND PL S
98003-5317
KENT WA 98032
Adtt�nal Permit Information
Service greater than 1000 Amps?...........................No
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105202 -00 -EL
Owner: ALLEN GENTRY JR.
Address: 1228 S 313TH ST
FEDERAL WAY, WA 98003-5317
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not.
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Slab/Concrete Floor (4255) ❑ Ditch cover (4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power (4275)
Approved
By Date
❑ Service (4235)
Approved
By Date
❑ Feeders/Sub-panels (4045)
Approved .
By Date
Rough Electrical (4225) ❑ Ceiling Cover (4020) ❑ Final - Electrical (4055)
Approved Approved Approved /
By Date By Date By Date%
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
O Rough Electrical D FINAL - Electrical
Approved Approved
By Date By(�� Date 9
Feramay w�Q PERMIT
COYM/MTY'DIS LOP110NT�BR Y
33325 dM AUTO • PO BOX 971 A
LWAY, WA 98061-9718
15"3$-207•PX25-M260SEP $TA
PPLI CATI O N
_aeLW��
The following is
SF MF CO M E PL DE EN PP
incomplete application will not be accepted Please print.legibly (in ink) or type.
SITE ADDRESS SUITE/UNIT #
ASSESSOR'S TAR/PARCEL # . 2 S _� S LOT SIZE (sp
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
p►eaoh+�naro�R►►�we�Y � e.K+�/
PROJECT• •
TYPE OF PERMIT O BUILDING O PLUMBING . ❑ MECHANICAL
O DEMOLITION 2WECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlvl
PROJECT. NAME (Name of Business or Owner Last Namel
PROPERTY
NAME
PRIMARY PHONE
OWNER
C -`t S C r.�
� Zig
L` -4� �... � �C'
O ADDRESS
Crff, STATE, ZIP
E-MAILADDRESS
CITY, STATE, ZIP
LL PHONE
S % 7.
S5
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COMPANY NAME
APPLICANT NAME
APPLICANT NAME
OFFICE PHONE
C -`t S C r.�
� Zig
L` -4� �... � �C'
� 53) °► 41 ' S1 �Q1
MAILING, ADDRESS
CITY, STATE, ZIP
CITY, STATE, ZIP
LL PHONE
S % 7.
S5
Kr"k- W •L
o%Ato 2at. -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER .
EXPIRATION DATE
FAX NUMBER
-
E3 Architect o Tenant
Yl
-
CO RA OR'9 RE018TRAT10E
TION DATE~
EMAIL ADDMEW
C -T;-
'5
COMPANY NAME
APPLICANT NAME
MAILING, ADDRESS
OFFICE PHONE
L G
( S-�k )q,41 -
MAILINO ADDRESS
CITY, STATE, ZIP
CELL PHONE
$c
-a
RELATIONSHIP TO PROJECT
FAX NUMBER
E3 Architect o Tenant
o Agent 13 Other
NAME PRIMARY PHONE EMAILADDRESS
NAME
Per RCW 19.27.098: .
Lender h1formation is required {/project value exceeds $5,000
MAILING, ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? E3 YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES O NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
PROJECT ••-
AREA DESCRIPTION
AREAS
EXIST1iTiG
S :FT.
PROPOSED
SQ. FT,
TOTAL
S .FT.
BASEMENT
o YES. o NO
BASIC PLAN?
a YES
FIRST
ZONING DESIGNATION
CHANGE OF USE?
SECOND
o NO
NEW ADDRESS REQUIRED?
o YES a NO
THIRD
a YES
o NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
o YES
a NO.
DECK (❑ COVEREDOR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
ANO
reorano
TO7'"''.
ror L&Mr ••sr
rorALmopoe"sr
Torstar
"RRWXOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing furfures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLIC,ATI019
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS IwTub/sbewarcooibo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
OAS LOG SETS
IAVS Mft. wwo
RAINWATER SYST
SHOWERS
SINKS
SUMPS
N rPTTr-
GAS PIPE OUTLETS
(IAS WATER HEATERS
HOODS (comme,d.q
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS tren q
WASHING MACHINES
WOODSTOVES
T MISC (Describe)
MISC (Describe)
I cert jy under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert{ fy that to the best of my
knowledge, the information submitted in support of this permit application is true and eorrscL I eert{ij� that I will comply with all applicable
City of Fedowl _Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the bsuanee of this permit
does not remove the owner's responsibiUty for compliance with local, state, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim /including costs, expenses, and attorneys' fees incurred in the
investigation and dtfense of such eiatmn which may be made by any person, including the undersigned, and flied against the city, but only
whore such claim arises out of the reliance of the city, including its gafcers and employees, upon•the accuracy of the information supplied to
the city as apart of this application.
SIGNATURE: ��� O A . _ d1' an,,,� DATE
Property Owner and/or Authorized Agent
.0NEW a ADDITION
a ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
a YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES a NO
UP/SEPA/SU?
a YES
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
o YES
a NO.
Bulletin #100 -August 16, 2007 Page 2 of 4 . k\Handouts\Permit Application